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Coronary artery bypass graft surgery (CABG) is a type of heart surgery used to treat ischemic heart disease, a condition caused by narrowed or blocked coronary arteries. It involves bypassing blocked or narrowed coronary arteries with a healthy artery or vein from another body part. The new grafts are connected to the aorta and the coronary artery beyond the blockage, allowing oxygen-rich blood to flow freely to the heart muscle.
Pre-procedure
Before a CABG is performed, there are several important things that need to be done. The patient must undergo a thorough medical evaluation to assess their overall health. It includes a physical exam, a review of the patient's medical history, and a variety of tests, such as an electrocardiogram (ECG) and a stress test.
The patient must also discuss with their doctor the risks and benefits of the CABG surgery. The patient must also prepare for the procedure by following the doctor's instructions. It may include taking certain medications, making lifestyle changes such as quitting smoking and following a special diet. The patient should also stop eating and drinking the night before the procedure.
Procedure
CABG involves bypassing the blocked artery with a healthy blood vessel taken from another part of the body. The vessel is then connected to the coronary artery above and below the blockage. It allows the blood to flow freely around the blockage, restoring blood flow to the heart. The surgery itself is typically done under general anaesthesia.
The surgeon will use a cardiopulmonary bypass machine to take over the patient's heart and lung functions during the procedure. The surgeon will then make a small incision in the chest and use a graft to create a new pathway for the blood to flow around the blockage. The graft is usually taken from the chest, leg, or arm. Once the bypass is complete, the patient will be taken to the intensive care unit, where they will be monitored closely. Consult a top cardiovascular and thoracic surgeon in Hebbal for the best treatment.
Post-procedure
The patient will be monitored closely by their medical team and should follow the instructions closely.
In the first couple of days following the surgery, the patient will likely remain in the hospital and be given pain medication to manage the discomfort. Getting out of bed and moving around as soon as possible is important to promote healing and reduce the risk of blood clots.
In the weeks following the surgery, the patient should avoid strenuous activity. The patient should also attend regular follow-up appointments with their cardiologist to monitor their recovery. Blood tests may also be performed to ensure that there is no infection.
Finally, the patient should watch for signs of a heart attack, such as chest pain, shortness of breath, nausea or fainting. If these symptoms occur, the patient should seek medical attention immediately.
Visit of a top cardiothoracic vascular surgery hospital in Hebbal for diagnosis and treatment.
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